HomeMy WebLinkAbout14-4590 CITY QF DIAMOND BAR
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CITY OF DIAMOND BAR
INSPECTION RECORD � � ' �
• � � • • e , � • -
SE7�ACKlLEfTEB TRACTAND LEDGER
FOdTINGS FORMS SWITCH GEAR
StAB COMMERCIAL HOOD
UG PLUMBING T-BAR
UG ELECTRICAL INTERCEPTER
UFER GROUND HOT MOP/SHDWERPAN
SEWERLATERAL SEPTIC/CESSPOOL
MAIN WATER LINE HENS REPORT RECEIVED
SEWER CLEANOUT �EMOLITION
ROOF SHEATHING ROOF DRAINS
FLOOR SHEATHING ROUGH CONDUIT
SHEAR WALLS EXTFA�OR POOL/SPA
SHEAR WALLS IMERIOR ROUGH PLUMBING
FRAMINGNENTING ROUGH ELECTRICAL
ROUGH MECHANICAL ROUGH MECHANICAL
ROUGH ELECTRICAL W� )CO GA$TEST
ROUGH PLUMBING PRE GUNITE
INSULATION WALL POOL PRE DECK BON�ING
INSULATION CEILING P-TRAP
DRYWALL FENCE/GATE/ALARM
LATH(PR� FlNAL POOL
LATH EXTERIOR WALLS
LATH INTERIOR WALL FOOTING/STEEL
GAS TEST WALL STEEL 1�'( )2N0� )LIFT
SCRATCH COAT � " '� �� ` WALL BOND BFAM
ELECTRIC METER REL � ` WALL DRAIN/SEAL
GAS METER RELEASE ' " �' i� -► ` WALL FINAL
SPECIAL INSPECTION RO FiiPMWGR.ANMNGPPPROVAL
FINALBUILOING / �s ROUGHFIREAPPROVAL
FINAL MECHANICAL FINAL FIRE OEPAHTMENT
FINAL ELECTFlICAL FINAL PLANNING
FINAL PLUMBING FINAL ENGINEERING/PW
TC of OCCUPANCY FINAL COMMUNITY SEHVICES
CERf.ot OCCUPANCY FINAL HEqL7H DEPT.
FINAL INDUSTRIAL WASfE
COMMENTS
. �. � � .
— 5im litied Preseri tive Certificate of Com liance: 2008 Residentiaf fIYA� CF-1Ft-ALT-HVAG
cn�att roA�f z.v
, SueAdetress EnforcemetrtAgeney Date Permd ti
4/ y �
Condmoned
E ut ment Tv e� L�st Minimum Efficienc z Floor Area C7nst iosulat�on re wrement Thertnastat
Packaged Un�t
Fumace �AFUET � 8 COp_ '�, CYver d0 ft of ducts added ar ❑5�i��k
IndoorCa) EER�_ HSPF____ �ervedbysystem ' reptaced inuncondrt�aned ����akaadypresem
Condensmg Unn �EEB_ ❑Resistanoe —��Sf spa°e rausr de msmned�
Other ❑R 6 {CZ 2 and 9)
1 Equ�pment Type Choose the eqmpment bemg msialled,if more than 4ne system,use enather CF-I R-ALT�HVAC far eaoh system
2 M�mmmrt Equipment Eltie�enc�es 13 SEER,78°h AFUE,7 7HSPF for ryp�eal residentiai systems
HER5 V ERIFICAT[QN SllMMARY L�sted below ere Eour HVAC eltcral�qn Opttons 7'he mstallar dcc�dzs what work is bemg
done and p�cks ona oPttte appropnate Options Eash Option I�sts the HERS measures that must be condvoted A cupy of the fo�ms shall
be teft an sne for final mspecnon end e copy given to ihe homeowner At final,the mspector ver�fies that tho work Itslad on thrs Pomt
wes m fact the rwrk eompleted by the�nstatler Tbe mspecror also verifies that each appropnate CF-6R and registered CFAR foTms(nu
hand fillad CF-ARs a1laa�ed)are filled out�rd s�gned Begmmng Oetobar i,2616,a regntered eopy of t4e CF-]R and CF-bR sha11
alsfl be oa site for finai ms echoa
t.HYAC Cha»geout Requ�red Farms
• A!I HVAC Eqwpment replaced tF-6R forms MECH-04,MECH-2]-HBRS end{(or splst systems}MECH-25-]iERS
CF-4R forms MECH-21 and for s I�t s�ems MECH-25
. Condenser CoJ endlur CF•bR Porms MECH-2k-HERS and(for splrt systems}MSCH-?5-HER5
• tndoor Cml and lor CF--0R fornrs MECH-2t and(for spltt systcros} MECH•25
+ Furnace
For Spht Systems:Dnet Ieakage� IS pereent, RC,CCA>_300 GFM/ton,TMAEE
For Fsekaged Uorts• Duct leakage<15 percent
Exerttp[ed from duc[teakege testmg tF
[� 1 [3uot system was docwneoted tp have been previausly seeled end canfittned throug7r HERS var�foatian,or
2 Duet systems wiih tess than AO Imear feet m uncondit�oned spacc,or
3 Exrstm duat s stems ere construsted,msu�ated or sealed wnh asbestos
❑2 lVew AYAC System Reqvred Furms
� Cut tn ar Changeout wrth now ducts (all CF-6R forms MECH-Q4,MECH-20-HERS and{for split sysiems)MECH-25-HERS
new ducun and ai]new e v� ment) CF-4R forms MECH-2Q and(for spin systams) MECI�I•25
Far Spt�t Systems:Duct leakage<6 percent,RC,CCA>_300 CFMlton,TMAH
For Packa sd Un�ts�Duct leaka e<6 ercent
❑3 1Vew Ducts w�th Re lacemeot Reqmred Forms
• ineludes replaemg or mstellmg aII new GF-6R forms MECN-04,MECH40-HERS,end�Por spl�t systams)M£CH-25-HERS
ductmg endJar outdoor cnndens�ng un�t CF-4R forms M6CH»20 attd{far split systems}tvSECH-25
andlor�nddar coil anNor furnece Not all
e u� ment ehan ed
For Spl�t Systems:Duct Seakage<b percent,RC,CCA?360 CFMtton,TMAH
�or Packa d Umts:Duat Ieaka e<6 ereent
4 New Duetm over4Q feet Re uired Forms
* lnoludes eddmg or re}tlaemg more than 44 CF-6R Comis MHCH-flA,MECH-2I-HERS
Imear feetofduct m uncondrtwned s ce CF-4R faans ,1�SECH-21
For spht�sJ'stem ar peckaged units: Duet leakage< ($p���nt
�{ EXCEP7ION Ex�shng duci stems constmc[ed,msulated or seated w�th asbeslos
Cantraetor(Orocumeot�bon Autbar's Ricspoos�ble Des�gner's Dalnnnon S�slemeni}
+ f cert�fy thas thes Cenifice�e afComp6ance doc�memat�on�:sccwale and complete
• i am ehgibie�nder Drv�s�an}Qfthc CatiComie 8usmeys gnd Pratesaions Code co accept rsspons�b�i�ty fw the�sign dent�E"isd wi tls�s Cert�ficatc af
Comphanca
. [canfy that the energy features and perfortnance spcc�ficanons fqr i(se des�gn�dennfied on tMs Cert�ficsro of Compi�ance co-n£am ta lhe
iequ�remems of T�tle 24,pans 1 and 6 of the Cahfom�a Cade of Reguiations
• Thedesignfeatures�denufiedonthisCerziflta�eofCompliencearecass�mniwith�hemformat�ondacumentedanoiherapplicablecomphancc
fc�rms,worleshcetscaiGutahons lansands �firatwnssubmittedwtheenturecment e fore ovalw�ththe na licatwn
]Vame ^,y S�gnature j
,�
Compeny Data
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+f`ERTIriSATE QF INSfALlAT1dN CF2R-MCH-2�•H
Duct teakage Diagnnstic Test (Page 1 af 3)
PraJect Name: ItENNETH 5HU Enfcrcemerrt Agency Qty of Perm�t Number: PRSA 459Q
Diamond Bar
pwelling Address: 2654 tIEAR CREEK Gity: Diamond 8ar Iip Code: 91765
' A.System Information
QS Space Condit�onmg 5ystem Ident�flcation or Narne 5ystern 1
02 Space Condd�oning 5yskem location ar Area Served Location 1
03 OuUdmgType from Cf-1R Smgie famdy
� Ver�Sed Low teakage Duds m Condit�oned Space Na,credd is not taken
(Vt(.dCSJ tredrt from CFSR?
05 Verified�ow Leakage A�r Handhng Unit(VItAHU)Credit Nq tredrt�x not taken
trom CFiR7
06 Duct System Compli�nce Categary r_ , � Alteration �
MCN-20d -Carnplete Repiaceinerrt or Altered Dud Syskem - � � ,
�
B. Dud i,eakage 4iagnostic Test
OS Condenser Nommal Cao6ng tapaeity(ton} 4
42 HeatingCap�city(kBtufhj 90
03 Canditioned Floor Area served by th�s HVA[syskem(ft2) 40Q�
OA Duct i.eakage Test Condrtton Test finsl
OS Dud Leakage Test Methad Total�eakage
O6 �eakage Factor 0 SS
�7 A�r H�ndl�ng Un�t A�rflaw(AHUAirt7owy betermmation Coalmg system method
Method
, 08 Measured AHUAFrf1ow This field or sedian is not applicable
, 49 CaleWatedTarget Allowable 4uck leakage(cfm} 2dtl
10 Actual dud leakage rate from leakage test measurement Sd4
{cfmj
11 Compi�ance Statement System passes IQakage tesi
Registeation Number 214-A00428�3A-M2000002A•D000 Reg�stranon Date/Time 201M12-191723 i6 HERSProvider CalCERTS
CA Buildmg Energy Effit�ency Sbndalds Report Vers�on 2014-05�08 Report 6enerated 2014-12-19 1T 10 22
2413 Rasiderrtial Compbance Scheme Vers�on 6 SSSOd
'CERTifis^.ATE OF INSTAW1TtON CF2R-MCH•20-H
Duct teakage Dlagttastic Test {Page 2 af 3)
C.Additional RequirerneMs Eor tcmpliance
�1 System was tested in its nprmal operat�on conditwn No temparary tapmg allowed
dutside air{OA)ducts for Centrat Fan Integrated(CFI)ventdat�on systems,shall not be sealed(taped off durmg duct leakage
�Z textmg Cfi OA ducts ihat utibze contralled motar�zed dampers,that apen only when OA ventdaUon is requ�red to meet
ASHRAE Standard 62 2,and close when OA ventdation�s not required,may be configured to the closed posdion durmg duct
leakagetesung
p3 AII supplY and return reg�ster boots were seafed to the drywall
04 8uddmg cavdies were not used as pEenums or plallorm returns m Iieu af ducts
OS If cloth backed tape was used ii was cavered with Mastic and deaw bands
06 A4I con�ect�on pomts between the air handler and the supply and return plenums are compiete#y sealed
, �f the system cdmpiies us�ng the 5make Tesi method,the smoke test was conducted in accordance w�th the requ�rements
I 47 of Reference Residential Append�x RA3 14 3 6 Systems that comply us�ng smoke test shall npt be included m sample
' groups for HER�verlflcation comphance ,. ' �� � '- �
The respansib�e persons signatufe 6ri ihis campllance documeM affirtns tfiat a0 appllcable requlrements in this table fiave
been met. � , �`�� r r ,' ` -
l!
Regiscrat�an Number 21A-A0092653A•M2�U002A-Od00 Regi3trat�on DateJT�me 2Q14-12-19 i773 16 HERS Prowder CaICERTS
CA Bu�idrng Energy E�ciency Stand�rds Report VerSwn 2014-05•OS Report Generated 2014-12-19 17 S��2
2013 ftesideat�ai Compl�ance Schema Vers�on 0 515DD
YERTIFiiCATE OF INSTAUJITION CF2R-MtH-20-N
Duct Ceakage diagnostic Test (Page 3 af 3]
Documentaticn Author's Deelaratlon Statement
1.I certify that this Certiflcate of installatlo�datumentatfon is acturate and complete.
bowmenhahOn Authar Name Documentarion Author S�gna[ure rf
lan Jacoby cYan�uca Jr
compa� signatureoate �p�q-12-19i12259
5tratz Permrt 5ervMce
Address CEA/HER3 Cert+ficavon IdelrtiFlcatmn{rf apO�Kable}
SSS$pouetail Dnve
CRy/StatefLp Phane
Agoura HAIs CA 91301 518-735-7876
ResponsEbte Person's Daclaratiqn statement
�certifY the tollowing under penaity at peryury,under the laws of the Scate aF Cei�fornia
1 7he mformation provlded on thks tertficete nt Installatlnn is tnre and correct
2 I am eiig�bie under Dnis�un 3 of[he Buvness end Fm#pss�ans Cede In the appliseble ctessrflcation ta accept res{tans�b�liry fur the system des�gn,
constructmn,or mstallatton af features,mateAals,camponeMs,or manuhdured de�cesfor the scape nf work identified on th�s Certifiwte of
InrtallaS�pn and attest to the dedarations In thls statemem(responsible bullderJanstalipr�,othenvise�am an authanzed representatrve of the
fespnnskble buildertnstalier
3 The wnstructed or mstaikd fpatures,maSena4s,mmponents or manufattured dences(the Installatwn},Menf�fled on th�5 Cert�ficate of InzCdOaban
conforms to all appi�cabie iodes and regu[eSlans,and the muai�atian cnnforcns to the requiremer�ts grven on the plens and specficatmnz approved by
theenforcementegency , ^ � ' ,r � ' ;
J
A I understand Yhat a NEflS rater wAI check tfie Installennn to rer�iy mmpl�ance,and that�f such checking ide�dNes defects,f am requrred ta.take
correctrve attian ak my e�xpense I understaM Shat Energy Comm�ssion a�d kER5 provader re�esenptives wdi alsa perform Qua6ry assurance cl�eckmg
of mstellatrons,induding those apprm+ed az pan of a sxmpie group but not ch�ked bV a HERS�nter,and HtAote�n5tallationsfad to meet the
requ�rementt af such quality asstttarvce checkmg,the re4wred carrective actwn and eddrtional theck�ngltesk�ng n�uther installatio�s�n that HERS
sampie group will be peAnrmed ak my expense
S 1 reriewed a cupy of the Certificate of Com�iance aRPr�ed bV the enforcement agencY that rdeM+fiesthe spepflc requrrements for the sco�of
'�� wnstmction ar instaliat�on identrfied an th�s Ccrt�ticate of InstallatiQq end i have ensured that tbe reqwrements that appiy ta kha tons[rucnon err
mstallauon have been met
6 I will ensure that a registered mpy nf th�s Cert�cate of InstallM+on sfiail be ppsted,or made available with the 15u�idmg�rm�tls)�ssued far the
bullding,and made avadable to the enforcement agency far aii apP��cable InspecNons i underttand that a registeret7 cap4 of this Certdrc�teaf
Installat�on�s requ�red to be mGoded vnth the documentatwn the bmlder prondes to the bmidmg owner at occupancy
Responsible BwlderJiast�lier Name Responsbie Sudder/Installer Signature
Rusty Gochran
CompanyName {InstaipngSu6cnntt3ttarnrGeneralCantnttaror Pos�tmn4V�thtompany{Trtie}
Budderjqwner) pw�gf
W C HEATlNG&AIR CONDITIONING iNC
Address Ci�a ticense
25876 MADISON AVE 779604
CRyjState/Zip Phane Oake Slgned
MURRIETA CA 42562 (951y 644-07� 2014-12-19 17 23 16
Thnd F'arty Ctuatlty Contro�Progtam(TPQCP}Status Name af TPQCP(rf applicablaj
Di9rtaltpsrpnedbyCatCEA75 7rirsd�grtatsrgnatura+spravdedrnortM�tosecuretheconrerrtWthrsregietereddocurrrentandu�nowayu»phesReq+slrvfwnProwder
rc�ons�brHty/or the accuracyafthe u+formenan
Reg�ttrat�on Num6er 214-Ap092853A-M2Q0�042A•d000 Reg�stratlon DateJTime 2014-12-19 17 23 58 HERS Gravrder Ca10ERT5
CA Budding Energy Effiaency SWndards Report Version 201A�05�06 Report Generated 2Q1A•17•19 17 16 22
2�33 Residem�aS Campbance Schema Version 0 52566
' CERT{:ICATE OF INSiAUATION tF2R-MCH-23-H
Space Condltioning System Alrflow Rate {page 1 oi 3 j
projectName: KENNETHSHU Enforteme�tl4gency Gtyaf permitNumber PRi44S90
Diamond Bar
Dwelling Address 2654 C�EAR CREEK City: D�amand Bar Zip tade: 91765
A.pucted Caaling System irtfarmatlon
Qi System Idenbficat�on or Name Syatem 1
02 System Locaban o�Aeea Served Locatr�n 1
; 03 Systeminstallat�on7ype Alterat�on
04 Nominal Coal�ng Capaaty{tons)af Condenser 4
OS Cqnde�ser Speed Type Singie Speed
06 Coohng System 2ona1 Cantrat Type Not Zonal
q7 Central�an Integrated{CfiJ VenttlaUan System Status_w . Not a CFI system
0$ System Bypass Duct Status�y-%� ;f � , No Bypass Duct
I
09 Oate of System Airfiow%Rate Measurement �� . 201a-09-09 ,
iq A�rflow Rate Protocof ut�bzed RA3 3 procedures far a�rflow rate measurement
B. Hale for the placemeM of a Static Fressure Probe(HSPP),and Permane�ly installed 5tatic Pressure Probe�PSpp)
in the wpply plenom.
Prflcedures for mstaliing HSPP or PSPP are specified�n RA3 3 1 1
01 Method used to demanstrate compl�ante wdh the HSPP�nstalled and Iabeled consistent wdh Figure RA3 3-1
HSPFfPSPp requMrement
t.Airflaw Rate Measurement Apparatus and Pracedure Informattan
InStrument Spscifications are g�ven m RA3 3 1 l,and system airflaw rate measurement apparatus infarmation is given
mRA332
O7 Airflaw Rate Measurement Type used for this airflow rate Tradrtwnal fiow Capture Haod according to procedure m
verification RA3 3 314
02 ManufacturerofAirflowMeasurementApparatus T51
03 Made!num6er of Airfiow Measurement Apparatus T5�
� Certification Statvs of the AirFlow Meazurement Apparatus Certified by tvfanutacturer and Irsted nn CEC Webs�te at
Accuracy http JJwww energy ca govj{tbd)
Registration Num6er 214-A0692853A-M234pOQ2A•D000 RegistreUon pateJiime 20i4•12-59 17 23 16 HERS Provider CaiCERSS
G4 9uGldmg Energy Effiaency StandaWs Report Vers�on 2014-05�08 Rep�art Genereted 2014-12•19 17 2i 54
2013 Rez�dentiel tompliante Schema Version 0 S15DD
CERTIFICATE OF INSTAtLNTION Cf7R-MCH-23-H
Space Conditloning System Aifiaw Nate (Page 2 of 3}
ttACH-23a Porced Air System Airfiaw Hate Measuremerrt-Newiy Installed Non-2oned Systems or Zoned Multi-Speed
Compressor
D.farced Air Systern Airflow Rate Measurement
The procedures for System Airflow Rate Ver�ficat�on are specified in Reference Res�dentiat Append�x RA3 3
OS Requ�red Mmimum System Airflow Rate{cfmlton} 300
42 Required M�rnmum Syitem Airflow Target(Cfm) 1200
03 Actual System Airflow Rate Measurement(cfm} 1217
04 Compl�ance Stateme�t System airflow rate comphee
E.Additional Requlrements
OS Av fifters that meet the appl�cable requirements of Standards Settion 150 Q(mj12 or iS0 0(m}13 were properly in5tailed�n
the system duringsyitem'a�r flow rake"measuremenf`ident�fied on`,this Certifitate of Installation
� i
The airflow rate measurement aRParatus used to perform khe airflow rate measurement identified on thGs Certsficate of
42 Ustallation was cahbrated in accordance with the apparatus manufacturer's speciPicatidns and conforms to the `
mstrumentabon specificabons g�ven in RR3 3 1 �
i A vMsual inspection shall cdnf�rm that bypass ducts that dehver condrtioned suppty a�r direttly to the space condrtion�ng
system retum duct a�rflow 2re not used on new or replacement zonally controlled systems unless the Perftarmance
63 Certficate of Comp6ance ind�ca#es an ailowance for use of a bypass duct When a byPass doct is accounted for an the
Pertarmance Certificate of Compliante,the avflow rate shall cnnFarm to the speafitaitons listed pn the Cert�ficate of
CompUance
04 A!I registers were fully open dun�g the diagnostic teet
4� System fan was set at maximum speed during the dsagnpstic test
06 If fresh air duck is part of the HVAC system rt was nat closed du�mg the diagnost�c test
67 A�rfiow rate and fan watt draw shall be s�multaneous measuremenct whe�used to calculate the Fan Efflcacy tested value
Multo-speed compressor space toating systems or vanabie speed compressar systems shall venfy air flow{cfin/tanJ and fan
DS efficacy(WattJcfm)wrth system operetmg in woi�ng mpde at the maximum compreswr speed and the maximum a�r
handierfan speed
The resg�onsible persnn's slgnature on thls�mpitance dacumeM affirms tha#aii appllcable requirements In this table have
bee�met.
Registretion F7umber 214-AOQ92$53A-M2300002A-QDOQ Registretion 0eteji�me 201412-14 17 23 18 HER5 Provider CaIC£RT5
G Buildtng Energy Efticiency Standards Report Verstan 2d14-05-OS Report Generated 201#•12•19 17 21 54
2013 Res+dent+al Comp6ence Schema Versron 0 SISDO
� CERSifICA7E OF IN51`Al4ATiON CP2R-MGH-23-H
Space Condit�onEng System Airflow 4�te (Page 3 of 3)
Oncumer�btion Author's Declaration Statement
1.1 certify that this tertiflcate of Installatlon docume�a#Ion is acwrate and tomplete.
Documentatwn Aathar Name DawmeMat�an Author Signature /( /"
lan Jacaby cYan�acaby
company s�nature�ate 2014-12-19 17 22 59
Skratz Perm�t Service
Address GEa/HERS Certiflrtat�on ident�cadon bf appUcabie}
5858 Dovetail Dnve
CrcyjStateJ2ip Phone
Agoura H�IIs CA 91301 $1$-735-7576
Responsi6ie Persan's Deciaration statement
1 cert�ty Me filbvnng under penaity of per�ury,underthe iaws af the 5Wte oi CaOfomia
1 The informatron prowded on this Certltiptc pt tnstallation is irue and correct
2 I am e6g�ble under Division 3 of the Busmess and Professions Cade m ttie aOP��cabie dass�flcation to atceR��sppnsiWhty for the systcm desgry
cnnstruaion,or mstallaupn oC teatures,materlals,camponents,ae manufacWred dev�ces for the scope of work�dentifietl on th�s tertrf�cate of
Instaliation and attest to the dedaratlons m thls statement i��Ponslble 6Wlderjinstalier),mherwlse�am an authorized represenWtrve olthe
re3Rons�bfe 6mlderJm5Wlier
3 The canstructed or lnstalied featuret,matariais,wmponenSs or manufactured dewces(the instaiiatwn]�ieMlfied on th�s Certificate of Insmllat�pn
wnEorms co all gpplicahie codes and regutattons,and the instatlation wnforms So the requtrements grv¢n on the ptans and specdKetions approved py
theenforcementagenty � ' � � ' '
d I understa�that a HERS rater'�vnll check#he InstaiWtian to ventycampliance,and[hat if such checking identdies defec[5,I am requ�red to,iake
corredive act�an at mye�epense'i understand thet Energy Coinmhsion and HENS Provtder repretenbtrves wlli aisa perfarm quaUtyassurance checking
qf inxtallations,mcludingthose apprmred az part aFa sam�e group but not chedred hy a HERS reter,a�W�f those inSSa�lzttans fa�i to meet the
. requiremenSs af such quai�ty aasurance checking,the requ�ned correctrre actimi and additwnai ch�dnngltemng of otfier mstaliat�ons m that HEfli
''���,. sample group will be perfarmed et my expense
'�� 5 I rewewed e copy vFthe Cert6�cate of Cam��nce apprrnred by the enforcemmS zgency that�denhfles She speafic requ�rements far the sco�of
��� conrtruct�on or muaiiaUon ident�ed on th�s tertiflcate of InsWllation,and 1 have ensured that ihe requirements tfiat apply to SMe constmctmn or
'�.. mstallatlnn have been met
�� 6 I will enwre that a reg�Stered copy of this Certl#icate af Instaitat�on shail be posted,or madt avaiWble vnth the huddrng permit(s!rssued for She
budd�n&and made avatleble to the enfarcement agency for aIl apdicable mxpectmes �understand tfiat a rng+stered copy Mthis Certd�caSe of
Inst011atmn�s requlred to be mcluded with the documentatian tbe bullder pruv�des za the bmlding owner at ocapancy
Respons�6le Bu�kierl�nstaller Name Respons�bic B�ilderl��sta�lerS+gnature
Rusty Cachran
CompanyName ;InstallmgSubernrtraaarorGeneralContreaorar PosrtionWithCamparry{Titlej
gufiderjOwner� Owner
W C HEATING Fa A!R CC}NDITIONING INC
Add�ess CSIBL¢ense
�5976 MAD15�}N AYE 779604
City)Statej2�R Phone Date S�gned
MURRIETA CA 92562 (451}600-0740 2d1412-19 17 23 16
"fhrzd Varty tkuahty Control Rrog�am(iPqCP)Status Name of TVQCp(�f appiicabiej
tkg�(afly srqned by CaMfRTS 77ua d�grta!sqnature+s prov+ded rn order rn secvre rtre mnMnt af th�s regrsMreddocumenC andm no way unR7rex Reqlstratron Pravrder
reapon6duhty tarthe accuracy of tfre ui£rnmai�on
Registrat�on Number' ?14-AQt�2853A-M23p0002&QWO Registration DateJt'ime 201A-12-19 17 23 18 HERS Prov�der CaICERTS
CA Bu�ldrng Energy Effiaency Standards Repnrt Versian 2014d}S�QB Repott t�enerated 2Q14-22-19 i7 2154
2p13 ftesidential Compbance Sc#�ema VerSion 0 515D0
CER;iFIG'vTE OF INSTALLATtON CF2R-MCH-25-H
Refrigerar�t Charge Verificatinn {Page 1 of 5}
Project Name. KENNETH SHU Enforcement Agency Gty ofi Permtt NumDer: PR14 4590
D�amond Bar
Dwelling Address. 2G54 CLEAR CREEK Clty. piamand Bar Zip tode. 9i765
A.System Information
Each system requ�r�ng refngerant charge verificatian wili 6e dpcumented on a separate certificate
O3 System Identifiption or Nxme System 1
02 System tocation or Area Served Locat�on 1
03 Condenser{or package umt)make or brand LENNOX
04 Condenser{or package unrt)model num6er XCld-04?•230
OS Nommal Coolmg Capaaty{tons)of Condenser A
Q6 Condenser(or package umt)senal n�am6er 5814E02309
07 RefrigerantType ` _ , ,� � R.114A
�.
s .
i 48 Other Reft�geraM Ty j(if applFca6iej , ff r
09 System installatron Type A.Iteration
I 10 Charge Ind�cator Dasplay(CID)Status{hlote fven systems This system does not have a Cf0 dewce instailed
w�th a CID must have refngerant charge venfied by mstallerj
Is the system of a type that the mimmum au#low can be Yes,this is e ducted systerrr and one of the system a�rfiow
11 venfled ustng an approved measurement procedure(RA3 3 rate measurement procedures in RA3 3 or RA3 2 2 7 can ae
or RA3 2 2 7j? used to verify system a�rflow rate
is the system of a type that approved refr�gerant charge Yes,one af the Refrigerant charge ver{ficatian pracedures
verdicatron procedures can be used to venfy compbance from RA3 2 2 or RAS is apphcabie to this system and can be
12 w�th Lhe refngerartt charge venflcaUon requvements when used to venfy tomphance
temperatures are greater than or equal to SSf(RA3 2 2,or
RAl)�
13 Aate of Retrigeront Charge Verifrcation far th�s system 2024-09•04
14 Reft�gerant charge veriflcation method used Subcoolmg(outdoor temperature must 6e equal ta ot
greater than 55 degF)
15 Person who perfarmed the Refngerant Charge Ver�flcatian HVAC system mstaller
reported on th�s Certiflcate of in$tallabon
26 NENS Venficat�on Comphance Iteqwrement Status System quahfies for group sampi�ng
Standard Charge Yerificatian procedure-CF2R-MCH-256-Subcooling Method
Registretwn Number 21A•AOp92853A-M25��2A•OOOQ Registratlon Datejiime 2014-12-18/7 23 16 HERS PrpVidef CaICERTS
tA Bwldmg EnergyEfhcreney SWndaMS Repart Vers�on 2019-05-q8 Report Generated 201A-12•19 172318
2013 Res�dent�al Cc�mpliance Schema verswn 455150D
CERTIFICATE flF INSTALLATit}N CF2Ft-MCH-25-H
Ref�igeraM Charge Vertficatian {page 2 of 5)
8. Metering De+rice Yerfication
I Subca g Methad can anly be used an systems thet have a vanable me#enng device
Ol Refrigerant metermg devtce 'fhermostabc Expansion Valve(TXV)
p2 Subwolmg Method appl�cab�hty status Su6coolmg Method�s applicabte to th�s system
C.ins#rument Calibration
procedures for instrument calibret�on are given m Reference Res�dentiai Appendix RA3 2 2 and RA3 2 2 2
01 Oate of Dig�tal Refngerant Gauge Cahbraba� 241A-09-01
Q2 Oate of pigdaf Thermocouple Ca6bratian 2014-09-01
03 D�grtal Refrigerant Gauge Ga#�braUo�Status Ca6bratian is current
OA Oig�tal Thermocouple Ca66rat�on Status Catibration�s current
-_ � _ - - f _ -
D,MeasuremeM Acsess Hal�y(MIIH}Verific�ation J�1 ' ' _ , , .
Procedures for ms`tatlrng�MAN ar`e spec�fied in Reference Restdent�at Appendix RA3 2.23 �
a
O3 Meihad used to demonstrate comphance w�th the MkH mstalled a�rd Iabeied consistent with Pigure 3 2-1
Meawrement Accesa Hale{MAH)regutrement
E.Minimum System AirFlow Rate Verifiqtian
�i Procedures far venfymg mm�mum system airflow are specified �n Reference Resident�al Append�x RA3 2 2 7
01 Mmimum Reqmred System Avflqw Rate{cfm) 12q0
42 5ystem Airfiow ROte VeY�ficat�on St2tu5 5ystem canplees with m�n�mum a�rflow rate reqmreme�ts
f. Data Cotlectton and Calcalatians
Procedures for determimng Refngerant Charge using the Standard Charge Verificatian Procedure are g�ven m
Reference Resident�al Append�x RA3 2 2
Ol Lowest return air dry bulb temperature that occurred during 71
the refregerant charge venficakion procedure(degreeF)
�Z Meawred Condenser a�r entenng dry-butb temperature{T 97
coneen:er,an)
03 Outdoor TemperaturQ Qual4ficat�on Stetus Outdaor temperature�s w�khm range for usmg Subcaohng
refngerantcharge venficaUon method
Reg�strat�anNumber 2i&-Ai�92853a�M25�02a-OODO Feglstrot�on0atejTime 2014-12-19 7 7 23 16 HERSPravider CaICEHTS
CA Budding Energy Effinency Standards Repart version 201q-OS-OS Report Generated 201&12•19 1J 23 18
2413 ResidenUai Camp6ence Schema vers�on 055i50D
CER'f1flCkTE OF INSTAI.tATIQN CF2R-MCH-25-H
RefHgerant Charge Veriflcation (Paga 3 nf 5�
F. Data Collection and Calculations
Procedures for determm�ng Refngerant Charge usmg tbe Standard Charge Verrficat�on Prpcedure are g�ven m
Reference Residential Append�x RA3 2 �
04 Measured Irqwd Une Temperature�T+iquea}(degreeF� 103
�5 Measured Liqwd I.me Pressure(Puqme�{pssgr 259
4� Condenser saturat�an temperature(Tmoa�o.,sacy from d�gital 108
gauge ar P-T Ta61e using Line FOS(degree FJ
p7 nneasured Subconling 5
48 Target Subco�ling 5 1
� Camphance Statement System comphes wdh Subcool�ng Method-Must also pass metenng device venficat�on,neXt
sedion
G. Metering Devite Yetf'uation - s . ,
Pracadures for the venf�cabon of proper metenng dev�ce operaLon are spec�fied in RA3 2 2 6 2
OS Measured Suct3on hne teinperature{Tsuamo)�degreeF) 62 `
D2 Measured Suction Ime pressure(Psuaio�)(ps�g} 151
a� Evaporator saturaAon tempe2ture(Teva�ac�r,sa�)from 53
d��rtal gauge or P-T Table using I�ne G02(degreeF}
0a Measured Superheat 9
OS Measured Superheat is between 4 and 25 deg F{incluswe} Passes CEC requarement
� Measured Superheat is wrthm manufacturer's speaflcat�ons, Mot known
�f known
07 Complaance Statement Meter�ng dewce veriflcat+on passes
Verification af ChBrge Inditator Display-CF2R-MCH-25d-Cid
H.Charge Indicamr Display
Procedures for ihe Charge Indtcator Display Venflcation are deta�Ied m RA3 4 2
Thas sedron daes nat apply m this pro}ect
Reglstratcan Number 214-A�92853A-M2500002A-�0 Reglstrat�on DateJT�me 201d-12-18 17 23 16 FiERS proVider Ca10ERTi
t4 Budd�ng Energy Effiaency Standard5 Report versian 2Q34•OS-08 Report Generated 2014-i2d9 17 Z3 18
2013 Res�dent�al Complaante Schema Version 0 SSiSDD
CERYIFICATE OFINSfALLATI6N GF2R-MCH-25-H
RefrFgerant Charge VerFflcat�cn {Page 4 nf 5}
I.Charge inditatar Display Addltlonal Requirements
This sett�on does not appiy to th�s prn�ect
, --. , _ f-
_ ��
r �
. f�� ;' t 1 _ '. ..
h '
�� lie - 1 l. � � .
Reg�stration Number 214-A4092853A-M2500442A-0000 Regrstration QateJTime 201412-i917 2318 HEAS Provider Ca10EiiTS
CA Budding Energy Eff�c�ency Standards Report Verston 2014-0S-OB Report GBnfiY3ted 2014-12-19 17 23 18
2013 Res�dent�al Compi�ance Schema Verswn 0 SSSSOD
CfRTIFtG1TE dF IN5TA�tAT10N CF2H-MCH-25-H
Refr(gerant Gharge Verificatlon (Page S of 5�
Documentatian Authar's Declaration Statement
1.I certity that this Certificate af Ie�stallatian dacumentatian is accurate and complete.
Oacumentat�on Authar Name Oaumentatwn Authar;ignature � f
lan Jatohy an�aca��r
Company S�Snature Date 2d14-12-1+3 17 22 59
StratZ Permrt 5ervice
Addrest CEAj HERS tertiflcaaon Identifwtioo(rf apphcabfe)
5858 Davetail6r�ve
C�N15tate/LP phane
Agoura Hdls CA 4130i 81$-735-7876
Responsible Person's D�Ieratian statement
1 certlfy the foliowmg under penaity af per�ury,under ihe Iaws af the State of Ca6tomia
S The informat�a�provWed on this CeRiflcate of Installativn Is true and[orrec[
2 I am ettgibie u�er Drvisiqn 3 of the Buvness and Prpfess�ons tode In the applitabte ciass�hcatlon to ascept responsibtlity far tbe f{s[em design,
construcGon,or installaban af features,materials,componems,or manufactured dev�ces for the swpe of warls�dentiFled on th�s Certrficate of
Ins%ailatlon and attest ta the deClaratrons In this statee�nt�responsi6le 6u�L�1er1�n5t�llerl,otherx�se I am an Buthorized represe�tive of ihe
responsible bwlderhnStailer
3 The constructed or InstatFed�features,materlais,components or manufactured devices{the��stallat�m}r�entifled an th�s tert�firate of Installat�on
mnfarms to alt�ppSkabie codet and regutat�ans,arW the In�,illation conforms to the re4uiremem3 grven on the ptanx and specifiratwns approved by
[he enfor[emr.mt egency s�� , � j ,
4 1 understand tifet�HEItS rate wifl check the fnStallation to ren(y campliance,and that�f wch ChecWng iderrtiHes defects,i am reqpired to,take
corre[twe ac4on at myl0epense'I und`ersCand that Energyr Cammission and HE(t5 Provlder representattveSvnll aiso perform puabty asSurante checking
o!instailaUons,�ncluding those a�rowed as paR ota sample grvup but not chetked Gy a HERS rzMr,arw!d thase�nstallahons fatl to meet the
, reyu�rementsofsuchpualityauur�ncecheckmgtherequiredcorrectrveactwnandadd�tronalchecbngjtestingofotherinstallatwnsmthatHERS
''���,. sampie group vnll be perfarmed at my ezpense
�I, 5 I renewed a copy af the teNflrate of Comphance aRProved by the enfarcement agency that�dent�fies the specifc repuvements for the scop�oF
�I consVuchon m instaltztmn�dentiFled on th�sCert�ficate of InsWllat�on,and 1 have ensured that the r�wrementa that appiYto the construawn or
�I msWlianon have t�en�t
�''�� 6 I will ensure that a regiRered wpy of thts Certificete ot Instaliation shail be posted,ar made available with the bmidmg permit�s)�sweG for the
bwlding,and made avaAable ta thp enfortement agencyfnr ali appOca6le inspectEons �understend that a registered copy ot this CeNhcace of
I�stallation�s requlred to 6e induded wtth the dacumentatWn tAe bullder pruvrcles W the buiiding owner at accvpancy
Responvble BudderJinstaller Name Respans�b�e 8wkler/Installer S�gnature
Rusty Cochran
CpmpanyName �Instailing5ubcontrettororGeneralContraeteror Pos�t�onWlthCompariyS'Tit�e?
ewldertOwner} Owner
W C HEATING&AiR CONOITICINING INC
Address GSLB Ucanse
25976 MApISCJN AVE 7796Q4
6tyJState(Lp Phvne Date Signed
MURRIETA CA 92562 (451}bOp-07QQ 2014-12-19 17 23 18
1'hird Party Quality Can[rol program{TPQ�Pj 5Wtus Name of 7PqCP(if appl�cabie)
D'gmaAys+gned6yCeICER7S Th+seNgrtatsiqnatureisprovrdedinarderfnsecwethecementp/iMerep+stered�cumenLandmnowayunptresReqisfrafronProvrdex
mspo�rh6tY��+eacc+uecyof fhe m(armeiren
Registrat�on Number 214-A0092953A-M25000p2A•0044 Registrat�on OateJT�me 201412•1617 23 76 HERS Provider CaICERTS
CA 9wldmg Energy Efficiency 5tandards Report Version 201A-05-08 Report 6enerated 201A-12d9 Sl 23 18
2013 Res�denttal CampGance Schema Vers�an 0 SSiSDD
tERT�FICATE OF VERIFICATIQN CF3R-MCH-20-N
{Page 1 af 1�
Pruject Flame: KENNETH SHU Enforcement Agency Crty af Permlt Number: PR1d 4590
Diamond Bar
Dwetting Address: 2654 Ct.EAR CREEK City: O�amond Bar Zfp Code: 91765
HERS measure was verifled using the mathodology defined for the untested features included in a sample group.
This measure passes through tts re4ationship with the actual ane tested and passed.Therefore no data is included
on thls Certiflcate of Veriflcation.
Documer�tation Author's Declarati�on Statement
': i.i certify that this tert�cate of Verif�cation documer�tation is accu�te and wmplete.
�dacumentation Author Name Documentatwn Authar Signature r� /�
ian JacobY cyan 'acob
Com�any Stratr Permit Serv�ce o�R���p�
''�,Address CEAJ HEffi Certiflcanvn IdenYltlqbon t apphra ea
I 5858 Oovetad D�We 10054
utylstacgtzlp Agoura Hdls CA 913t11 f�hone 818-735-7876
Resppnsible Persoe's Deciaration st3temetit ,� �� , �
. � t r
r .
�UerkFfy the Pollavnng v�er penalty of frju�+,under the laws of the SW�of Cahfprnia i ; - , ` �"
�
i TheintarmationproWd�d�onth�sCerNficate�afCampliance�sWeandcorrect . ,' j �-��� , �
2 1 am the cenified HERS Raterwhc perfprmed the verifltabon identlfled and reparted on this LerttflCata of Venflcatbn(resRons�b�e ra[ct)
, 3 The mstaiied features,materiais,camponents,manutactured deWces,or system perfarmance diaQnostic resvlts that reqwrE HERS verdication
�''���, �denufied on this Cert�sate otYeriflcatlon camptywRh the applica4le�epuirert�ems m Referenca Appendices RA2,AA3,and the repulrements
'�,, spMfied an the Cembrate af Cpmpllance fpr the buddrng apprpved 6y the enfurcement agency
'�, 4 The mfo�matlon repeRed on app6ca41e sect{�ns of the tertlficate{s}of Installatlon(CF2R}signed and su6mltted hythe Derson(s�responsi4le far the
I� construdfon or mrtalWtwn cnnfprms to the repw:ements specNied on the Certiflcate�s)of tomp6anCe{CF1R}approved b�r the enfprcemem agency
�I. 5 !�nll ensure that a�egistered wpy of th�s Lert�fir�te of Verlfiqtion sha�l be pasted,or mads avaliable wrth the du�iding permtt(s)�ssued tar the
�'���, building,andmadeavaalahletotheenFortementagenryfnraitapplicebleinspectbns IvndersSandthataregisteredmpyufthisCert�ircateof
'' Verifiwtmn is requ�red to bt mduded wtth the documentatien the bmlder pmwdes to the bwiding awner at acwPancy
Bullder qr Installer information At 5hown On The Certificate Of Instaiiation
CampanyName{tnstal�mgSubconcractar,GeneralContrscror,oreudderJdwner� WCHEATlNG&AIRCONDITIt�NINGiNC
Respunsibte Budder or installer Name CSt9�cense
Rusty Cachran 779604
HERS Provider Data Registry Infarmation
Sampie Group Num6er�if appl�cable� Oweiling Tert Status in Sarnplc Group(�f apR���ab�e)
219-00575 Nottested
HERS Rater Information
NERS Rater Company Name StfdkZ POfmit SEfvICB
Resppnsible RaYer Name Respons�bie Rater Signature
Ryan Faris
Re5ponsibfe Rater Certifiwtiun NurnSer wj this HERS Prw�det Oate S�gned
CC2p05345
Orpr{aNya�pnedbyCalC£NTS Ttus&p�talapnaturers(ro�ed�noMerluaecurethecorrtentolthisregratereddocumen4and�nnowaynnpdeaHepistr8t+onFrovrder
rrapons�6dRy fortheaCCuracY o/!he intormatmn
RegistratianNumber 214-A0092853A•M2000W2A-M2QA Reg�strationDate/i�me 201M12•19174846 HERSProwder CalCERTS
CA Buddmg Energy Effiuency Standenls Report Vers�on 2014-OS-dB Report Generated 201A-Y2-19 17 35 57
20Y3 Resrdent�ai Comp6ance Sclrema Vers�nn
CERTIFFCATE pF VERIFICATtOH CF3R-MCH-23-H
(Page i cf t�
Project Name: KENNETN SHU EnforcemeM Agency: C�ty of Permit Number: PR144590
Diamond Bar
Owelling Addresc: 2654 C�EAR CREEK Ciryr D�amond Bar Zip Code: 91765
HERS measure was verified using the methodotogy deflned for#he urrtested features included in a sample group.
This measure passes through Its relallo�ship with the astual o�tesked and pazsed.Therefore�da#a is included
on this CeKNicate of Verificatlon.
Qocomerrt.ition Author's Decleratloa SWtement
; 1.i certify that thl�Certiflcate of Verification documentation is accurate and complete.
Dacumentat�an AuNrar Nam¢ Oncumentation Authar S�gnature /�
lan latobY c.�an acak
'compamr Stratx Permrt Service oase s'�a�+ed
''�,nddress CEatNERSCert�lcat�on�demrficatronl appl e}
585B Doveted Drfve 5�59
GtylStatel2�p AgouraHiE15GA91301 Phune 818-735-7876
' Responslbte Person's Dedaratfon siatemerit • ; • ; - f
� �,,w ! , � I �
i certrfy the fullowing urider penalry of perjury,undcr the laws of the State nf California� f _ rr �
i !, t � f
1 TheintarmationproNde'd�ontfitsCertMcake�ufCompt�ncektrueandcorrect , L _, ( � !
2 1 am tha certified HERS pater who performed the rerifl�non Wentfied and reported on this Certiflcate of Vedficatlon(responsibie rater}
3 The mstalled features,materiats,components,manufactured deWces,or sy5tem pcerformancediagnpstec resuits tlrat require HERSverficatron
r
����; idenUfiednnthisCertrfkateafVerlBcaboncomplywlththeappllta6lerequirementsmReferenceappend�cesRA2,RA3,andtherequirements
�'�,, speafied on the Cemflrate of Cnmpi{ance fprthe buiidmg approved by the enforcement agen�y
���, b The mformation repnRed an apphcable uCkions vf the Certiflrate(sa of Instaila[lon(CF2Ra 3igned and wbmitted bYthe persen{5}�esOonHGle fur the
I construc#�on or inuallat�a�wnfqrms tn kbs reqwrements spetlfied un the Certiflwte(s�of CamR6ance 1CF1R)approvcd byihe enforcement agency
II� S I wtll ensure that a reg�5tered copy of th�s Centflcate of Venfication shill de posted,or made availa�e with the 6uddmg permrt{s)issued fo�the
'�, bullding,and made avadable to the enturcere�m agenty for all aRp�Icable inspes[lonz i understand that a reg�stcred copY�Ihls Certd�pte of
''�.... Veofiwtmn rs reGmred tn be mcluded with the dntumentatmn the bmlder provides ro the buddmgowner at occupency
euiider Qr InsFalFer lr�formation As Shown On The Certiflcate Of Instatlatian
Company Nemc�Inatal6ng Subcontac[a�Gencral Contractor,ar BudderJ4wner) W C HEA71N6&A�R CON61TiC}RIINCi INC
Hespnnsible Buildcr or Inswlier Name CSLB Urxnze
Rusty Cochran 779604
HERS Prov3der Data Registry Informatla�
Sample Graup Num6er�if applica6ie) Oweibng Test SWtus m Sample Group(If eppi�cabiej
21d-OQ575 Nattested
NERS Rater Infarmation
HERS Rater Company Name St�3t2 Per�ttl#SCMCC
Responsible Rster Name Responsible Rater Signature
Ryan Fans
Resppnsihip Rater Cemficallon Number wJtkes HERS Pro+nder Date S�gne6
CG2DQ6345
D�grtaftysiqned byCa10ERTS 7Mg d�ta1 srynafwe ie provMed+n ordNta secure the cont�t af thrs registereddocument a++d m no way+mptres ReguYranon Prarrder
respons�bd�ryfnrtheeccuracyatthe rntormanon
Rag�skration Number 22A-A�g2653A-M230�D2A-M23A Rag�strat�on 5ate/Time 2014-12-tg 1748 d6 HERS Prov�der CaICERTS
CA Burldmg fnergy Ef6c�ency Standerds Report Versian 2014-OS-DS Report Generated 2614-52-14 I7 37 02
2023 Re�ideM�al Compbance Schema Verx�on
CERTiFItATE OF VER]FICATtON CF3R-MCH-25-H
{Page 1011 J
ProJect Name: KENNETH SHU EnforcemeM Agency: City of Permit Number PR14 4590
Oiamond 9ae
�uueiling Address: 2654 CLEAR CREEK Ciry: Diamond Bar 21p Code: 91765
HERS measure was verifled using the me#hodology defl�ed for the u�tested features incfuded �n a sample group.
This measure passes#hrough its relationship with the actual ane tested and passed,Therefore no data is included
on this Certificate of Verificat[on.
Daumentation Au#har's DeclaratCon Statement
f.i certify that this Certifica#e of Yerificat�on documentation is a�rate and�mplete.
6ncvmentatmn authnr Name Dacumentatmn Author S�gnature /�
Ianlacoby c�an ttcab
canpam. Stratz Perm�z Serv�ce ���ia�+�
Address CEAf HERS Cert�flcatipn idennfkatwn( appl w ey
5858 Dovetad Dnve 10059
c�v/sqtetz�p Agoura Wlfs CA 91301 vhone 518-735•78?6
Responsible Persort'�Dealaration�statement - , i , � � J �
,�
Icertl thefolbwin under snal af �1 '
F/ g p ty per�ury,under the laws of the State of G�damia� � ,
1 71�e��Po�mBtfon provlde�d on thl's Certlflca[e ot Comphance is Gue a�d co�rect � �
2 I am the certifled HERS Ratet who performed the verlHcallon WenNfied and reported on th�s Ceniflcare of VcrdKatlan(responslhle rater)
3 The installed features,materiels,components,manutactured devices,ar 5ystem periurmance d�agno5tic results tAat require HERSvenfisa[wn
identifled on tfi�s CertiBcate nf Verlficatlon comply wrth the applmah(e reqwrements m Reference Apperd¢es PA2,FAI,and the reqwremenes
spec�fied an tha�ert�flcate of Compilance For the 6uddmg approved 6Y the enforcement agency
A The informatmn reported on applicable sectlons of the Cert�flcate{s}ot Installatlon�CF2A}s�gned and su6m�tted 6y the yersan(sj resRwnslhle farthe
constructan rn mStalletwn cnnforms tn the repuirements specifled an tha Cert�fiqte{s)a(Comp6ance�CFlp}approved by the enfwcement agency
5 {xx�Il ensure that a regi#ered mpy af th�s Cert�tirate of venfiption shaii pe pos[ed,or made avadabie wfth che building permrt{za�ssued for the
6wMmg,end made avaliable to tfie enforcement agency for ali applicable Uspect�nns i understand that a reg�stered mpy af th�s Certd�cate oF
verd�cat�an�s required tc be�neiuded w�th the dacumentadan ttre bwider prawdes tc the 6u��ding owner at accupancy
Builder pr Installer lt�formatlon As Shown Qn The tertificate CJF installation
Company Name pnstai��ng Subcaytrador,General Contractor,ar sUl�dertOwnery W C NEATING&AIR tC}NDITIOPIIN6 INC
Respons�bie Budtler ur Insqiler Name CStB Ucense
Rusty Cochran 779fiO4
NERS Provider pata Registry Information
Sample Graup Number(if applwabfe� 6we0ing fis[Siatus in Sample G�oup(�apphea�le}
214-00575 Not tested
HERS Rater Information
HERSRaterComparryName 5tratzPermrtSernce
Responsible Rater Name Respo�sibie Rater Stgnature
Ryan Fans
Nesponst6le Rater Certifiwtipn Number wf Mis NERS Provider Date Signed
cczoa�sas _� �
thgi;attygigredttyCsttER7S 7MsdqitatsrgnatureisA@vrdederro�derrosecurethecoirtentatthtsrM�s�preddoaumerrLarMrorroway�mphesAegislre[wnProvMet�
resppzytnLty fpr thc acruracy af fhe mkrmattors
Reg�stration Number 2Y4-A�2853A-M250Q�2A-M25A Registrat�an DateJT�me 3Q1A-13-4�174646 NERS Prrnnder CaiGERTS
fA Buiidmg Energy Effiriency Standards Re�t Versron 2�ia-QS-13 Repart Generated 201a-12-19 1?3?58
2413 Res�de�tt�ai Comp6ance Scfiema Vernon